Cridersville Nursing And Rehab

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

Therapy staffing: this home’s payroll records show 0.32 therapist hours per resident per day in 2026Q1 — more than 52% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 22% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 50 beds and averages 38.3 residents a day — about 77% occupied, or roughly 12 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.22 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.73 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.61 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.99 hrs/resident/day on weekends vs 3.31 on weekdays — 9% thinner on weekends. RN hours go from 0.83 to 0.49 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 78% is well above the national median of 45%. 2 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are unchanged from the previous inspection. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

This trend is not current. The most recent of these two inspections was over 2 years ago; the arrow describes what inspectors found then, not what the home is like now.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

37 citations, most serious first. The 15 most serious are shown; the remaining 22 are one tap away and print in full.

• Immediate jeopardy · Jcited before2025-05-20 · tag F0678 — failed to provide CPR when needed — isolated
  Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of a closed medical record, staff interview, policy review, Emergency Medical Services (EMS) run sheet, and review of staff statements, the facility failed to immediately start and continue Cardio-Pulmonary Resuscitation (CPR) until EMS were on scene for one resident (Resident #42) who was identified as a Full Code status and was found unresponsive without vital signs. This resulted in serious life-threatening harm and/or death when Resident #42 did not receive immediate and continuous CPR prior to EMS services arriving at the facility. This affected one (Resident #42) of three residents reviewed for code response. The facility identified 24 residents residing in the facility designated with Full Code status. The facility census was 40. On 05/07/25 at 2:30 P.M., the Administrator and the Director of Nursing (DON) were notified that Immediate Jeopardy began on 05/04/25 at 7:45 A.M. when Resident #42 was found without vital signs Registered Nurse (RN) #164 failed to initiate CPR immediately and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · Jcited before2024-06-13 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on review of a closed medical record, review of hospital documentation, review of an emergency medical services (EMS) run detail report, review of a facsimile (fax) document, staff interviews, and review of facility policy, the facility failed to ensure a resident (#30) was provided appropriate and timely treatment, care, and services when the resident was assessed with changes in condition. This resulted in Immediate Jeopardy and the potential for serious life-threatening harm, negative health outcomes, and/or death when Resident #30 was ordered supplemental oxygen and a non-invasive ventilator (NIV) for use to aid the resident's respiratory status. Resident #30 was noted to refuse the NIV without notification to the physician and subsequently was assessed with low blood pressure and a low oxygen saturation rate on [DATE] which were not timely or appropriately reassessed, reported to the physician, or rechecked prior to providing medications to the resident. The lack of timely and appropriate care,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2025-09-25 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, review of hospital documents, and resident and staff interview, the facility failed to prevent an avoidable fall. Actual harm occurred on 08/10/25 when Resident #33 was in the bathroom leaning on the sink. The sink broke loose from the wall, fell to the floor, and broke into pieces. Resident #33 subsequently fell on top of a sharp piece of the sink and sustained a five millimeter (mm) laceration which hemorrhaged blood and required hospitalization with sutures needed to close the wound. This affected one (Resident #33) of three residents reviewed for accidents. The census was 41. Findings include: Record review for Resident #33 revealed the resident was admitted to the facility on [DATE]. Diagnoses included hemiplegia, malnutrition, difficulty walking, and cerebral infarction. Review of the Minimum Data Set (MDS) comprehensive assessment dated [DATE] revealed Resident #33 had mildly impaired cognition and required set-up only for daily hygiene. Review of Resident #33's care plans…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2025-05-20 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, staff interview, and review of the outside provider respiratory notes, the facility failed to ensure a Bilevel Positive Airway Pressure (BiPAP) was ordered after a resident returned from the hospital. This resulted in Actual Harm when Resident #34 was admitted to the hospital with an oxygen (O2) level of 38 percent (%) and was admitted to the hospital and placed on a ventilator. This affected one resident (#34) out of three residents reviewed for oxygen. The census was 40. Findings included: Review of the medical record for Resident #34 revealed an admission date of 03/11/25 and re-entry of 04/21/25. The resident was admitted with diagnoses including acute and chronic respiratory failure with hypercapnia, chronic obstructive pulmonary disease (COPD), and anxiety. The resident was discharged on 05/04/25 to the hospital. Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of 15 indicating intact cognition. The…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2022-04-18 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on resident record reviews, staff interviews, and review of facility policy, the facility failed to conduct thorough root cause analysis to identify potential hazards and resident-specific interventions to reduce and/or eliminate falls and falls with injury, resulting in actual harm when a resident experienced repeated falls resulting in fractures. This affected one resident (#30) of three residents reviewed for falls. The census was 30. Finding include: Review of the medical record for Resident #30 revealed the resident was admitted to the facility on [DATE]. Diagnoses included dementia, Alzheimer's disease, unsteadiness on feet, psychotic disorder, major depression, and cognitive communication deficit. Review of fall risk assessment dated [DATE], revealed Resident #30 was at moderate risk for falls. Review of admission Minimum Data Set (MDS) assessment dated [DATE], revealed Resident #30 was severely cognitively impaired. The resident required extensive assistance of two people for bed mobility and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2026-04-29 · tag F0678 — failed to provide CPR when needed — pattern
  Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, staff interview, and facility policy, the facility failed to ensure accurate and completed crash cart audits. This affected eighteen (#10, #11, #12, #14, #18, #19, #20, #22, #23, #24, #25, #27, #28, #29, #30, #32, #42, and #43) out of thirty-five full code residents. The facility census was 35.Observation and interview of crash cart on 04/27/26 at 3:05 P.M. with the Director of Nursing (DON) revealed April 2026 daily audit documentation did not include verification of expiration dates. Review of the crash cart audit logs further showed an extension cord was in the cart on 04/13/26, 04/17/26 and 04/26/26: however, observation confirmed the extension cord was not present in the crash cart at the time of inspection. Additionally, the audit documentation indicated required items, including eye protection, saline, and clear plastic, were not present in the crash cart and documented they were in the crash cart. Verified at time of finding with the DON.The facility policy, undated, Emergency Crash Cart, revealed the emergency crash cart is checked every 24 hours and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-09-25 · tag F0584 — failed to keep a safe, clean, comfortable home — pattern
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, medical record review, resident and staff interview, and review of invoices and receipts, the facility failed to maintain a homelike environment for its residents. This affected four (#9, #16, #33, and #35) of 25 residents reviewed for physical environment. The census was 41. Findings include: 1. Record review for Resident #9 revealed the resident was admitted to the facility on [DATE]. Diagnoses included cerebral infarction, muscle weakness, and schizoaffective disorder.Review of the comprehensive Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #9 had impaired cognition and required assist from staff for bathing and daily hygiene needs.Review of Resident #9's care plans dated 08/19/25 revealed a focus for activity of daily living (ADLs) deficits. Interventions included staff to assist with all personal care.Observation on 09/23/25 at 10:00 A.M., during the initial tour, revealed Resident #9 was observed resting in her room. Resident #9 was unable to be interviewed due to…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-09-25 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on medical record review and staff interview, the facility failed to initiate a care plan related to anticoagulation medication use. This affected one (#24) of three residents reviewed for care plans. The census was 41. Findings include: Review of medical record for Resident #24 revealed admission date of 06/24/25. The resident was admitted with diagnoses including end stage renal disease, diabetes mellitus, hyperkalemia, dependence on renal dialysis, heart failure, and intellectual disabilities. Review of Resident #24's physician orders dated 01/17/25 for revealed orders for the anticoagulant warfarin sodium Tablet eight (8) milligram (mg) and one (1) mg; to give 0.5 tablet of 1 mg with 8 mg to equal 8.5 mg by mouth one time a day for treating and preventing blood clots. Review of Resident #24's care plan dated 07/20/25 revealed the plan was absent for anticoagulants. Interview with the Director of Nursing (DON) on 09/24/25 at 2:34 P.M. verified Resident #24 did not have a plan of care for anticoagulant medication use. This deficiency represents an incidental finding…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-06-03 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on medical record reviews, staff, resident and resident representative interviews, review of Self-Reported Incidents (SRI's), and policy review, the facility failed to ensure a resident was free from sexual abuse. This affected one (#12) out of three residents reviewed for abuse. The facility census was 39. Findings include: 1. Review of the medical record for Resident #12 revealed an admission date of 02/18/25 with medical diagnoses of cerebral infarction, dementia with other behavioral disturbance, psychotic disorder with delusions, and hypertension. Review of the medical record for Resident #12 revealed a quarterly Minimum Data Set (MDS) assessment, dated 05/20/25, which indicated Resident #12 had severely impaired cognition and required supervision with eating and toilet hygiene, substantial/maximum staff assistance for bathing, and partial/moderate staff assistance with bed mobility and transfers. Review of Resident #12's medical record revealed the resident resided on a secured/locked unit at the facility. Review of the medical record for Resident #12 a nurses' note,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-05-20 · tag F0580 — failed to tell family and doctor about changes — isolated
  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on medical record review, staff interview, and review of the facility policy, the facility failed to ensure the physician was notified of a change in condition when the resident had an elevated blood pressure. This affected one (Resident #34) of three reviewed for change in condition. The facility census was 40. Findings include: Review of closed medical record for Resident #42 revealed admission date of 03/20/25. The resident was admitted with diagnoses including chronic obstructive pulmonary disease, atrial fibrillation, bipolar disorder and acute respiratory failure. Review of the plan of care dated 03/27/25 revealed the resident had a plan for altered cardiovascular status related to atrial fibrillation with interventions which included monitor, document, and report to physician ant signs or symptoms of coronary artery disease. Review of the physician's orders revealed an order dated 03/26/25 and placed on hold on 05/04/25, for metoprolol succinate oral capsule extended release 24-hour sprinkle 25 milligrams (mg), to give one capsule by mouth one time a day for blood…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-05-20 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review and staff interview, the facility failed to ensure a resident's care plan had goals and interventions in place for wound care. This affected one (Resident #45) of three residents reviewed for wound care. The facility census was 40. Findings include: Medical record review for Resident #45 revealed an admission date of 01/17/25. Diagnoses included asthma, Chronic Obstructive Pulmonary Disease (COPD), depression, obesity, cutaneous abscess of left lower limb, cutaneous abscess of right lower limb, abscess of bursa, anxiety, hyperlipidemia, essential primary hypertension, and anemia. Review of the Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #45 was cognitively intact. Review of the wound assessment dated [DATE] revealed Resident #45 had surgical incisions to the right and left hip with a wound vac applied to the left hip. Review of Resident #45's care plan revealed no goals or interventions in place for wounds or the use of a wound vac. Interview on 05/07/25 at…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-05-20 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review and staff interview, the facility failed to complete weekly wound assessments. This affected one (Resident #43) of three residents reviewed for wounds. Additionally, the facility failed to complete wound treatments as ordered. This affected one (Resident #12) of three residents reviewed for wound care. Lastly, the facility failed to ensure a resident made it to a scheduled outside doctor's appointment. This affected one (Resident #12) of three residents reviewed for appointments. The facility census was 40. Findings include: 1. Review of the medical record for Resident #43 revealed an admission date of 10/31/24. Diagnoses included cellulitis of left lower limb, non-pressure chronic ulcer of left foot, muscle weakness, type 2 diabetes, hyperlipidemia, essential primary hypertension, hypomagnesemia, Chronic Obstructive Pulmonary Disease (COPD), adult antisocial behavior, and depression. Review of the Minimum Data Set assessment dated [DATE] revealed Resident #43 was cognitively…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-20 · tag F0760 — failed to prevent significant medication errors — isolated
  Ensure that residents are free from significant medication errors.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review, staff interview, and facility policy review, the facility failed to ensure physician orders were followed during medication administration. This affected one resident (#12) of three reviewed for medication administration. The facility census was 40. . Findings included: Review of Resident #12's medical record revealed an admission date of 01/22/25. Diagnoses included superficial frostbite of the right foot, left foot, right hand, and tissue necrosis of the left foot and left hand, homelessness, and cerebral vascular accident. Review of Resident #12's quarterly Minimum Data Set (MDS) dated [DATE] revealed the resident's cognition was intact. The resident had a diagnosis of hypertension. Review of Resident #12's care plan revealed the resident had decreased cardiac output. The goal was to have a normal heart rate and rhythm. Interventions included to evaluate the blood pressure, heart rate, character, and rhythm. Review of Resident #12's medical record revealed a physician's order dated…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-04-17 · tag F0880 — failed to prevent and control infections — pattern
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on medical record review, staff interview, review of facility policy, and review of the Centers of Disease Control and Prevention (CDC) guidance, the facility failed to timely cohort COVID-19 positive residents. This affected four (Residents #39, #11, #29, and #34) of four residents reviewed for COVID-19 isolation. The facility census was 42. Findings include: 1. Review of the medical record revealed Resident #39 was admitted on [DATE]. Diagnoses included cerebral palsy, contracture of muscle multiple sites, hyperlipidemia, and chronic obstructive pulmonary disease. Review of the Minimum Data Set (MDS) assessment, dated 02/18/25, revealed the resident is rarely understood. Review of census data revealed Resident #39 has not experienced a room move since 03/14/25. Review of nursing progress notes, dated 04/11/25, revealed the resident tested positive for COVID-19. The resident was symptomatic and was sent to the emergency room for further evaluation due to risk factors for respiratory disease. Review of…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-03-19 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on review of facility submitted Self-Reported Incidents (SRIs), medical record review, staff interview, review of the facility investigation and review of facility policy, the facility failed to report an allegation of resident abuse to the Ohio Department of Health (ODH). This affected one (#03) of three residents reviewed for abuse. The facility census was 43. Findings include: Review of Resident #03's medical record revealed an admission date of 08/09/24. Diagnoses include dementia, depression, anxiety disorder, and psychotic disorder with delusions. Review of the quarterly Minimum Data Set (MDS) assessment, dated 01/21/25, revealed Resident #03 was cognitively impaired and required maximal staff assistance with activities of daily living (ADLs) and supervision with ambulation. Further review of Resident #03's medical record revealed no evidence of an incident involving potential abuse. Review of the facility submitted SRIs from 01/30/25 through 03/10/25 revealed no reported allegations of abuse involving Resident #03. Interview on 03/19/25 at 8:35 A.M. with the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$112,610 in federal fines across 3 penalties.

• $26,685 — penalty dated 2025-09-25
• $17,345 — penalty dated 2025-05-20
• $68,580 — penalty dated 2024-06-13

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to LIONSTONE CARE — 24 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 18 rows in the source record cover these 6 parties — each is shown once here with every role it holds. Nothing is omitted.

1 organizational owner listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $142K paid to related parties (affiliated landlords or management companies) in its most recent cost report. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in OH